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Updated: Jul 31, 2026
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Cost effectiveness of a high-risk pregnancy program
1College of Nursing, University of South Carolina, Columbia 29208, USA.
Summary
This study evaluated a community case-management program for high-risk mothers and infants, finding improved birth outcomes and reduced healthcare costs. The program shows promise for wider implementation.
Area of Science:
- Public Health
- Maternal and Child Health
- Healthcare Management
Background:
- High-risk pregnancies pose significant challenges to maternal and infant health outcomes.
- Effective case-management programs are crucial for mitigating risks and improving care.
- Community-based interventions offer a promising approach to support vulnerable populations.
Purpose of the Study:
- To evaluate the effectiveness of an innovative community-based case-management program.
- To assess the program's impact on birth outcomes for high-risk pregnant women and their infants.
- To analyze the program's effect on healthcare costs for this population.
Main Methods:
- A 7-year retrospective analysis of Medicaid claims data.
- Inclusion of 182,196 pregnant women and 140,088 infants in the study cohort.
- Evaluation of birth outcomes and healthcare expenditures.
Main Results:
- The program demonstrated improved birth outcomes for high-risk pregnancies.
- A consistent decrease in the cost of care was observed for both mothers and infants.
- Significant positive impact on health and economic aspects of care.
Conclusions:
- The community-based case-management program is effective in improving maternal and infant health.
- The program offers a cost-effective solution for managing high-risk pregnancies.
- Recommendations for broader implementation in diverse settings and client groups.
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